Journals on Emergency Medicine - BJSTR Journal

Abstract

Group A streptococcus is the most frequently identified bacterium in children with acute #pharyngotonsillitis [APT], although group B, C, F, and G have also been associated with APT. In Leao SC study higher APT incidence was observed in the female gender and #tonsillar exudates was observed with group A and C predominant [1]. To assess the utility of clinical features for diagnosis of APT with GAS in pediatrics with throat cultures showed that clinical presentation should not be used to confirm APT because its performance as a diagnostic test is low. It also pointed out that coryza absence, #conjunctivitisabsence, pharyngeal erythema, pharyngeal exudate, and tonsillar swelling were significantly associated with streptococcal pharyngotonsillitis. The highest clinical score, characterized by coryza absence, pharyngeal exudate, and pharyngeal erythema had a 45.6% sensitivity, a 74.5% specificity, and a likelihood ratio of 1.79 for streptococcal #pharyngotonsillitis [2]. All guidelines agree that narrow-spectrum antibiotic is the first choice of antibiotic for the treatment of APT and penicillin and #amoxicillin are the first choice antibiotics in the case of a child with the proven presence of GAS infection, however, the number of orally administered doses and 10 days of therapy considerably lower the compliance [3].

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Group A Streptococcal Pharyngotonsillitis by Kong Sang Wan in BJSTR

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